MS-DRG 389 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Diseases & Disorders of the Digestive System |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 389 by major payers:

$9,749.60

$11,486.20

$12,792.16

$13,116.09
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for MS-DRG 389 | ||||||
United | 389 | $16178.42 | 1326029984 - THAYER COUNTY MEMORIAL HOSPITAL | 470627838 | NE | Critical Access Hospital (282NC0060X) |
United | 389 | $17866.43 | 1841376092 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Rehabilitation Hospital Unit (273Y00000X) |
United | 389 | $18077.67 | 1609822881 - COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC, FROEDTERT MENOMONEE FALLS HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | General Acute Care Hospital (282N00000X) |
United | 389 | $8770.30 | 1700827896 - COVENANT MEDICAL CENTER INC, MERCYONE WATERLOO MEDICAL CENTER | 421264647 - COVENANT MEDICAL CENTER INC | IA | General Acute Care Hospital (282N00000X) |
United | 389 | $16518.92 | 1235162645 - NORCAL HEALTHCONNECT LLC, PETALUMA VALLEY HOSPITAL | 852390012 | CA | General Acute Care Hospital (282N00000X) |
United | 389 | $18692.50 | 1477587632 - PROVIDENCE HEALTH SYSTEM, PROVIDENCE HOLY CROSS MEDICAL CENTER | 954582647 - (CA) PROVIDENCE HEALTH SYSTEM | CA | General Acute Care Hospital (282N00000X) |
United | 389 | $9117.00 | 1689875320 - THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | 356005697 | IN | General Acute Care Hospital (282N00000X) |
United | 389 | $16740.86 | 1861009672 - NORCAL HEALTHCONNECT LLC, HEALDSBURG HOSPITAL | 852390012 | CA | Critical Access Hospital (282NC0060X) |
United | 389 | $14713.37 | 1699874248 - SHANDS TEACHING HOSPITAL AND CLINICS, INC. | 591943502 - (FL) SHANDS TEACHING HOSPITAL AND CLINICS INC | FL | General Acute Care Hospital (282N00000X) |
United | 389 | $13973.49 | 1790701787 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF CARDIOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 389 | $17866.43 | 1841376092 - PROVIDENCE HEALTH & SERVICES OREGON, PROVIDENCE PORTLAND MEDICAL CENTER | 930386906 | OR | Rehabilitation Hospital Unit (273Y00000X) |
United | 389 | $10901.12 | 1902834880 - HARTFORD HOSPITAL | 60646668 - HARTFORD HOSPITAL | CT | General Acute Care Hospital (282N00000X) |
United | 389 | $24756.89 | 1730110347 - ANMED HEALTH, ANMED | 570359174 - ANMED HEALTH | SC | Psychiatric Hospital Unit (273R00000X) |
United | 389 | $5210.39 | 1114627072 - STONEBRIDGE HEALTH SYSTEMS, LLC | 464145136 - (LA) STONEBRIDGE HEALTH SYSTEMS LLC | LA | Psychiatric Hospital (283Q00000X) |
United | 389 | $13630.38 | 1184747883 - INOVA LOUDOUN HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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MS-DRG 389 vs. Other Diseases & Disorders of the Digestive System Codes
The MS-DRG 389 code is part of the Diseases & Disorders of the Digestive System services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 389 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 388-MS-DRG | High | Gastrointestinal Obstruction with MCC |
| 389-MS-DRG | High | Gastrointestinal Obstruction with CC |
| 390-MS-DRG | High | Gastrointestinal Obstruction without CC/MCC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 389. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 389 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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